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Controlled Substances Practitioner Registration - Reinstatement

Purpose:
  • Reinstate a practitioner with an expired license and allow the individual to prescribe controlled substances in Connecticut
Prerequisites:
  • All registrations expire biennially on February 28th. A completed form with the applicable fee will reinstate the indicated registration to the current renewal year.

Required Documentation:
   
  • This form can only be used to reinstate a registration that expired on or after 02/28/2011. The registration number you wish to reinstate must be entered on this form.


Applications, Forms & Other:


Application Fee:

  • $50.00 - Reinstatement


Mailing Address:

Connecticut Department of Consumer Protection
License Services Division
450 Columbus Blvd, Ste. 801
Hartford CT 06103


Email Address:

DCP.DrugPractitioners@ct.gov

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